Provided herein are methods and apparatuses for recommending tooth leveling (e.g., one or more of anterior leveling, posterior leveling, and arch-shape recommendations) for orthodontic devices and methods for patients. Factors involved in the leveling of teeth can include symmetry, doctor preferences, preferences regarding gender, the country in which the patient is being treated, and other issues related to the aesthetics of the mouth and arch shape. The device can comprise an aligner configured to fit over a patients teeth. Methods of designing and manufacturing aligners based on leveling recommendations are also provided.
